ADA Complaint and Grievance Form

The purpose of the Grievance Procedure is to provide an avenue for any member of the public to make a particular accessibility problem or concern known to the Town and to facilitate the prompt and equitable resolution of complaints alleging any action that would be prohibited by the ADA. It may be used by any member of the public who wishes to file a complaint alleging discrimination on the basis of disability in the provision of services, activities, programs or benefits of the Town. The Grievance Policy is as follows:

Step 1: File a Grievance Form

The complainant should fill out the ADA Complaint / Grievance Form, giving all of the information requested. The ADA Complaint / Grievance Form should be filed in writing with the Town of Mammoth Lakes, Department of Public Works within 60 days of the alleged disability-related discrimination. Upon request, reasonable accommodation will be provided in completing the form, or alternative formats of the form will be provided. The ADA complaint. Grievance Procedure and Form may be obtained from and sent to the Town of Mammoth Lakes, Public Works Director.

Step 2: An Investigation is Conducted

A Notice of receipt shall be mailed to the complainant by registered mail within five days of the receipt of the complaint or grievance. If necessary, the authorized Public Work Department representative may contact the complainant directly to obtain additional facts or documentation relevant to the grievance. If the complaint doe snot wish to be contacted personally, it should be indicated on the grievance form.

Step 3: A Written Decision is Prepared and Forwarded to the Complainant

A Department of Public Works Representative shall prepare a written decision, after full consideration of grievance merits, no later than 60 days following the receipt of the grievance. A copy of the written decision shall be mailed to the complainant by registered mail no late than five days after the preparation of the written decision.

Step 4: A Complainant May Appeal the Decision

If the complainant is dissatisfied with the written decision, the complainant may file a written appeal with either, at the complainant's option, the Town Manager or designee, no later than 30 days from the date of the mailing of the decision. The appeal must contain a statement of the reasons why the complainant is dissatisfied with the written decision, and must be signed by the complainant, or by someone authorized to sign on the complainant's behalf. A notice of the receipt shall be mailed to the complainant by registered mail within five days of the receipt of the appeal. The decision of the Town Manager or designee shall be final.

The Town of Mammoth Lakes, Department of Public Works and Town Manager shall maintain the confidentiality of all files and record relating to grievance file, unless disclosure is authorized or required by law. Any retaliation, coercion, intimidation, threat, interference, or harassment for filing of a grievance, or used to restrain a complainant from filing, is prohibited and should be reported immediately to the Director of Public Works.